Individual provider Active NPI

Ashlin Ann Mikolich, DR.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1164823357
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2387 Issued in NC
Practice address
1525 W WT Harris Blvd
Mail Code 5998 BLDG 1A1
Charlotte, NC 28288-0001
Phone
(704) 295-4433
Fax
(704) 295-4442
NPI assigned
Sep 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2387 NC Primary

Addresses

Primary practice location

1525 W WT Harris Blvd
Mail Code 5998 BLDG 1A1
Charlotte, NC 28288-0001

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141114000024 NC Practitioner - Optometry 6204058837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2145 Hendersonville Rd
Suite D
Arden, NC 28704-9724
Phone (828) 681-8000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jul 25, 2022 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

2145 Hendersonville Rd
Ste D
Arden, NC 28704
Phone (828) 681-8000

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1164823357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W WT HARRIS BLVD",
            "address_2": "MAIL CODE 5998 BLDG 1A1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282880001",
            "telephone_number": "704-295-4433",
            "fax_number": "704-295-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLICH",
        "first_name": "ASHLIN",
        "middle_name": "ANN",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.